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DS-10-1621Inspection Number: INSP- 151105 Permit Number: DS -9 -10 -1621 Scheduled Inspection Date: October 20, 2010 Inspector: Bruhn, Norman Owner: LACHMUND, LEE Job Address: 151 NE 93 Street Project: <NONE> Miami Shores, FL 33138- Contractor: ONE STOP PAVING INC Building Department Comments October 19, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060133040 Phone: 786- 299 -1354 REMOVE EXISTING ASPHALT DRIVEWAY IN FRONT OF PROPERTY AND CONCRETE RIBBONS AT GARAGE ENTRANCE AND REPLACE BOTH WITH NEW 4" PLAIN CONCRETE DRIVEWAY. Passed j i j Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 10 of 24 15 crAizAus G-ra- Miami Shores Village g Building Department BUILDING PERMIT APPLICATION FBC 20 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. O'0 — 1021 JOB ADDRESS: 1 t M E c1 3 S Master Permit No. Permit Type: BUILDING � I �, C , OWNER: Name (Fee Simple Titleholder): Lee LI t)" ci PPhone: q ` , 5 (93o U Address: 15 I 4 e 9, 3 5+ Q a City: to Ern . 0 Pe- State: Zip: 3 3 (3 D Tenant/Lessee Name: Phone#: Email: Zip: 3 31 38. City: Miami Shores County: Miami Dade Folio/Parcel#: 11 5 2-0(® 0 (3 30 40 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 0 q @ p V.601,-) 6 •i✓ Phone#: -7% 2qq (3 5-4 Address: IA 3 1J&- 1/3 54 City: k) - V ---c t State: _ Qualifier Name: I OS. Gte..03 ael.- State Certification or Registration #: Certif sate of Competency #: Contact Phone#: . 18(0 2a C 5 Email Address: C.O. / l v s 1 s 1 ^ ay cZa. Zip: 3 3 t b Phone#: - e& z q (3 S'4 23 I soo DESIGNER: Architect/Engineer: Phone#: I #C) Q . Square/Linear Footage of Work: Type of Work: OAddress DAlteration ONew Ottepairilleplace 0 Nice S-ki + ti.e Value of Work for this Permit: $ Description of Work: r ee vv d ,4 a I f ? t i n C cie. ie ri L COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: 900 s 'F ODemolition (■1 *** ** ** * ** * * *** ** * * * **+ ** * * * * *r * * *** * *rF **** ** * ** * * * * * * * * * *** ** **** ** * **** ** *rya *** ** I MMERWZD SEP102 n ay:.................... Submittal Fee $ Permit Fee $ /5 - 0 4641* J v b CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certi - d copy of the recorded notice of commencement must be posted at the job site for the first inspection which pccurs seven (7) er the building permit is issued. In the absence of such posted notice, the inspection will no be approve a ctio r fee ill be charged Signature � Owner or Agent The foregoing instrument was acknowledged before me this 4; day of Se 2011),by L2e. Lo-c w‘c/wd , who is perso known to me or who has produced NOTARY Sign: Print: As identification and who did take an oath. LIC: 1 ,�cr 1%. Notary Public State of Florida ,001%. . t ; Barbaro Sobrino My Commission DD633250 OE Expires 01/2512011 My Commission Expires: * *********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY 42 1 ' /b � � /U Plans Examiner 6 to Zoning nV�,o asi i I (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09Xrev6/4/10) Structural Review Signature lJ Contractor The foregoing instrument was acknowledged be ore me this & day of 20 (,c3 , by Cat S. J who ispers ^n y known to me or who has produced as identification and who did take an oath. Bid Notary Public State of Florida Barbaro Sobrino My Commission DD633250 i : 01/2512011 NOTARY p Sign: Print: 'I®. My Commission Expires: ( Clerk STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, , Le L o r,c n h idoes hereb attest that (Property owner) The attached survey, performed by (Name of surveyor's company) 1a 1 s+ For address: Performed on (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey Tess than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affe final ins tion plicable to this or other permits. Furth , Affiant s eth n Property Owner Signature SWORN TO AND SUBSCRIBED before me this day of Affiant is _personally known to me, Produced I , o Notary Public State of Florida :° Barbaro Sobrino AT My Commission DD633250 ' or OP Expires 01/25/2011 Revised on 5/2212009/ Revised on 6112109 SURVEY AFFIDAVIT M iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Lee la,clA Property Owner Print Name �_F� 2CS#t�F ;CS,CS�,�i2�: E � 1 1111111 1 1 11 111111 111 1111111111111111 11111111 RECORDED 09/07/2010 09 :02 :29 HARVEY RUVINr CLERK OF C:OURTr MIAMI -DAADE COMM FLORIDA Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY Whereas, (owner) � r_ -- e � . -ac �-� hereinafter referred to as the owner of the following described property (address): \ I N (. t 3 54 Legal Description Ok awN c S sore Celt t 2-7 Block Subdivision Folio# 1 ?a 61'© 0 (3 304 ( ~� Requests permission to install (describe work): V `A c y Gtr sl C o�e�E? �-i v.e Within the public right of way of (address) IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows: 1. To maintain and repair, when necessary, the above - mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. '°3e Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days =ice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) in be removed and a lien being placed on the property and/or assessed against the Owner for all costs aged in the removal and disposal of the item(s). 4_ The undersigned further agrees that these conditions shall be deemed a covenant running with the land arid shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until sudi time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County, Ronda by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this C' day SIGN J, SEA 2 Cg D, AND ELIV RED in th presence of: ft.el.e5 BOOK 27411 PAGE 0940 LAST PAGE Owner's Signature ) mar ar, Notary Public State of Florida s Or My Commission DD633250 4 ‘t ° ires 01/25/2011 STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is a f o of the original t is �fce o►1 d�Y of WITNESS my r° HARVEY RUV1 and and Official 20 Co an C F.LP. 1/2 1 STORY SINGLE FAMILY RESIDENCE # 151 LOT 23 BLOCK 22 1270 F.LP. 1/2' :h DEP I Vi AIL i1srs 75' R /W(P) (SIGNED) No. 2883 PAGE 2 OF 2 PAGES BOUNDARY SURVEY •• •• • • • • • • . ,. • • • d!'''.Yl • SURVEYORS CERTIFICATE. 41 • • I HEREBY CERTIFY THAT THIS BOUNDARY IS A 7RUEAND CORRECT REPRESENTA SURVEYPREPARED 770N. WI NOT VALID THOUTAN 7ED, ( •,.. SIGNA7UREAND�ELEC ;, : c�* OR A RAISED EMBOSSED SEAL ANS SI ••• • ",M • • • • • • • • • • • • • • ••• • • • Ml,rrnn414,.• n „n,,n,n l •WIT ••• • • • • • • • • • • • • •• • • • • • •• •• • • • 0 •• • • JS\O \t.o2\ LB #6135 TARGET SURVEYING, INC MOST FLORIDA COUNTIES 5601 CORPORATE WAY SUITE 210 WEST PALM BEACH, FL 33407 PHONE (561) 640 FACSIMILE (561) 640-0576 STATEWIDE PHONE (800) 226-4807 CTATFWIRF FA(SIMII F fRflrn 7114167A The East V2 Lot 22 a l all of Lot 23, Block 22, An Amended plat of MIAMI SHORES SECTION 1 according to the Plat thereof, as recorded In Plat Book 10, Page 70, ofthe Public Records of MIAMI -DADE County, Florida Conmundy Number. 120652 Panel 0093 Suffix J Fkrod Zone: X Field Work 10/14/2008 Certified To: LEE R. LACHMUND; LANCE A. GELLER, P.A; ATTORNEYS' TITLE INSURANCE FUND; AMTRUST BANK, WHOLESALE LENDING DIV., its successors and/or assigns. Property Address 151 NE 93RD STREET MIAMI SHORES, FL 33138 Survey Number 143573 LEGEND: • ANCOMNAXM EA SEARAOMEMAZ AU SINN • OMEN ill) CAMINO GQt/ C46M NM CA t311M DAM AIL ORAL MAE LW =MAT 4 WOW MUMS CAL AA' CC A anawavaeLED I' EXISIMMT gam ma one F P.AP. FA EPA ALA LAE t ALE ALIL PJ1 NA At7.8 EXISEVO UMW MEMO FLOOR FORM NOR PPE WEL WOW COMM MUD PARWARLONNAE ROW WARM WWERT FWD NOMAD LEMN ummaiwassassoir OW FR N ICE RUMAT WORM • Aft! MAG O • + R4 .. CA: GR8 UE RCP, PRA ram 11>� P08 AOC P.t P.CC P.t P.T. • ROL 41 • • • • •• • • • • . . . . • • . • • • • ..... • • . . • .... • • .•. • 0 .4% 0 0 • .p Ys ZcO ov ' LAS ARCM:. MORN WIRY SOW powthetreauma POW TOINAWASOLNARK SWOP REOWNO PAWFWAFVONOCIAMTURE FOOT OF MOWN lOW•AM PONTOFMNOMOT FROM WOW IN MDFOYERNWEASEReff MitTOROW • sSr RON WaGP PA PORERFOIE WA RP 49 EW W IM (F) MAT Pe MATSON LIP MAYPOLE • READ • ANAMAWINAIENT LOB ON WOW • COVINED • . WORME Ong- WORM REM FEW • 3 RoE LOW t,+ AR MR at Q AUL PM* ETOt1•E 'MOP NE MUM MAMA) LAS • • BA 10 : MAW ey air wsuasaisimpaisaarila •• • . •.. • 3 ORENIONSlIATAMISSORSAMLIOOPORWIE A FERLOOMOUFNWERRIM p • a PamiamsemusNastrpmaxmasepvimso ti t . Cry • IAPeBL amaMMINIMSOVIL COM PE LCMTM EA 7 • SOOMPOSEASI 3) FAGS 1 OF 2 PAGES LEGAL DESCRIPTION AND CERTIFICATION 1140135 rest . .. • . •. • TARGET :.: •VEYWO,INC. • SERVING MOST FLORIDA COUNTIES • • • • • 14 01 =MEWS WAYWU ate W ' P&M MCA FL Oaf MOM (8111)434841116 =SMILE (5131)114841168 • =MEW= noes M22134807 STA (A •. •